<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Insert title here</title>
</head>
<body>

<form action="">

<!-- Input parameter -->
<div id="paramTitle0">Parameter 0</div>
<div id="paramInput0"><input type="text" name="" value="" id="paramInput1"/></div>
<div id="paramTitle1">Parameter 1</div>
<div><input type="text" name="" value="" id="paramInput1"/></div>

<!-- Submit button -->
<p><input type="submit" value="Submit"/></p>

<!-- Result -->
<div id="result">Display result here</div>
</form>

</body>
</html>